Business Systems Analyst (FACETS Provider)
Location: Seattle, WA - Onsite
Experience: 10+ Years
Required Qualifications
Experience 10+ years of experience as a Business Systems Analyst or Business Analyst. Minimum 5+ years of hands-on experience with the TriZetto FACETS platform.
Extensive Healthcare Payer domain experience. Proven experience supporting complex FACETS implementations, regulatory mandates, and upgrade initiatives.
Required Skills
SME-level expertise in: FACETS Provider Module Provider Configuration & Maintenance
Provider Network Management Contracting & Reimbursement Models Pricing Configuration FACETS Front-End Functionality FACETS Batch Processing FACETS Backend Data Models
Strong understanding of Healthcare Payer provider operations and network management processes.
Advanced SQL skills with the ability to write complex queries for analysis, data validation, troubleshooting, and solution design.
Experience analyzing provider network, contracting, fee schedule, pricing, and reimbursement business processes.
Strong requirements gathering, business process analysis, and solutioning capabilities.
Experience creating functional specifications, business rules, gap analysis, and system documentation.